| Implant&maxillofacial Surgical Center | |
|
2224 1st Ave W Ste 2 Williston ND 58801-6286 | |
| (701) 721-5254 | |
| Not Available |
| Full Name | Implant&maxillofacial Surgical Center |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2224 1st Ave W Ste 2, Williston, North Dakota |
| Authorized Official Name and Position | Juan J. Ulloa (ORAL&MAXILLOFACIAL SURGEON/OWNER) |
| Authorized Official Contact | 7017215254 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Implant&maxillofacial Surgical Center 2224 1st Ave W Ste 2 Williston ND 58801-6286 Ph: (701) 721-5254 | Implant&maxillofacial Surgical Center 2224 1st Ave W Ste 2 Williston ND 58801-6286 Ph: (701) 721-5254 |
| NPI Number | 1255759650 |
|---|---|
| Provider Enumeration Date | 04/02/2014 |
| Last Update Date | 04/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255759650 | NPI | - | NPPES |
| 1811196504 | Other | PERSONAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 1993 (North Dakota) | Primary |
Greg A. Anderson, Dds,pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Main St, Suite 4, Williston, ND 58801 Phone: 701-577-2261 Fax: 701-577-0737 | |
Randolph R. Pitzer Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2224 1st Ave W, Williston, ND 58801 Phone: 701-774-0259 Fax: 701-774-0250 | |
Mc Dental Corporation, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 708 Main St, Williston, ND 58801 Phone: 701-774-1879 | |
Arie Bauer Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Main St, Williston, ND 58801 Phone: 701-577-2261 | |
John W. Hamilton Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2204 2nd Ave W, Suite 101, Williston, ND 58801 Phone: 701-774-8822 Fax: 701-774-8823 | |
Messer Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2224 1st Ave W, Williston, ND 58801 Phone: 701-290-2082 |